海扶参与治疗凶险性前置胎盘伴胎盘植入的多学科管理  

Multidisciplinary management of treatment of dangerous placenta previa with placenta increta participated by HIFU

作　　者：于万芹[1] 谭书卓[1] 赵聪颖[1] 

机构地区：[1]河北医科大学第二医院产科,河北石家庄050000

出　　处：《河北医科大学学报》2016年第10期1184-1187,共4页Journal of Hebei Medical University

基　　金：河北省医学科学研究重点课题(20150250)

摘　　要：目的探讨海扶治疗妊娠期胎盘植入的多学科管理的可行性。方法选择因严重胎儿畸形行中期引产的凶险性前置胎盘伴胎盘植入患者40例,将其分为无多学科团队参与管理组(A组)28例和海扶参与治疗的多学科团队参与管理组(B组)12例,比较2组患者治疗情况。结果 B组出血量、输血量、平均住院费用少于A组,子宫动脉结扎发生率低于A组,差异均有统计学意义(P<0.05);B组子宫切除、入住ICU、病死率与A组差异均无统计学意义(P>0.05)。结论海扶治疗妊娠期胎盘植入并对患者实施多学科管理可明显改善其妊娠结局,更具有安全性和可行性。Objective To discuss the feasibility of multidisciplinary management of treatment of dangerous placenta previa with placenta increta participated by HIFU. Methods Forty patients of dangerours placenta previa with placenta increta caused by terrible fetal malformation metaphase were selected. Those patients were divided into two groups, non- multidisciplinary group （group A, 28 pa-tients） and multidisciplinary care with HIFU group （group B, 12 patients）. Then the treatment results were compared. Results The blood loss, volume of blood transfusion, average hospitalization expenses, uterine artery ligation ratio in group B were lower than that in group A. The diffferenc was statistically significant（P〈（0.05）. Hysterectomies, ICU treatments and mortality were not statiscally significant between two groups（P〈0.05）. Conclusion Multidisciplinary care with HIFU can improve maternal outcomes of placenta increta during pergnancy, which is more safe and feasible.

关 键 词：前置胎盘 侵入性胎盘 导管消融术 

分 类 号：R714.462[医药卫生—妇产科学]